SURGERY STUDY MATERIAL

FAQ's IN Objective and Subjective Clinical Exams (OSCE)

Double Syngamy
 FAQs in Surgical OSCEs for MED5 & MED7

TO THE READERS

This compilation is a collection of information acquired from

several students, and not the work of the person who compiled
this. This PDF was put together to ease the dissemination of
important study material.

PLEASE note that this document is not official examination

material, and it is therefore intended to give the Medical students
an IDEA of the Frequently Asked Questions and the general
format of the Surgical OSCE.

No answers are provided, and so, Students are encouraged to

consult other texts to be better equiped for Surgical OSCE.

REMEMBER: CONFIDENCE IS ALSO KEY IN PASSING OSCE's IN SURGERY.

Double Syngamy

Page 3 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

Outline of some OSCE questions

1) Examine the breast, give the differential diagnosis and management (CA
breast)
2) Patient with airway obstruction comes into the emergency ward; give the step-
by-step way you are going to manage this patient.
3) Procedure for lymph node biopsy. Step by step.
4) Proctoscope. Identify the instrument, indications and what complications may
arise due to improper use.
5) Renal calculi on X-ray. What type of x-ray is this? Describe how the patient
will present and how will you treat this condition.
6) Chronic osteomylitis with auto sequestrectomy. Describe the process.
Investigations and management.
7) Fracture femur. What are the complications and how will you manage this.
What are the complications of perkings traction?
8) Specimen of an appendix. Pt presented with Rt iliac fossa pain. Was taken to
theatre were it was removed. How did the patient present? What is the
differential? What is management?
9) Hydrocephalus. What are the causes? Investigations and management.

10) Examination of the abdomen. Differentials for a mass from umbilicus to the Lt
subcostal area. Investigations as well

11) Burns inspect and give how you would resuscitate this child with IV fluids.

12) ICD, indications, describe the technique of inserting and removal. The
complications of an ICD.

13) Hx of patient who presented with failure to pass urine for 3 days. (Young
man) differentials, investigations and management. (How can you distinguish
stricture from BPH,)

14) Reading a CT scan. CT scan of brain tumour. How does patient present and
how do you treat.

15) Cervical spine dislocation on X-ray and how does the patient present. What is
spinal shock? How would you reduce the effects of spinal injury?

Page 4 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: COMMUNICATION SKILLS

MARK OUT OF 20; (FULL MARKS INDICATED IN BRACKET)

STATION _____ RESOURCE, NIL -- ORAL EXAM.

 OBJECTIVE :- TO ASSESS COMMUNICATION SKILLS OF THE STUDENT

 TELL THE STUDENT: YOU ARE A PATIENT –TO TAKE HISTORY

OF YOUR PARTICULARS.

 OBSERVE AND MARK FOR

1. GREETING THE PATIENT; (3)

2. SHAKING HANDS: (3)

3. INTRODUCING HIS / HER SELF; (3)

4. INTRODUCING YOU TO THE PATIENT: (3)

5. EXPLAINING WHAT IS SHE GOING TO DO: (3)

6. ATTITUDE OF THE STUDENT (3) --- (CASUAL OR SERIOUS)

7. CONFIDENCE OF THE STUDENT (2) – (NERVOUS OR COMPOSED)

Page 5 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: HISTORY TAKING OF A SWELLING

MARK OUT OF 20

STATION _____ RESOURCE, EXAMINER

 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF

HISTORY TAKING OF A SWELLING;

 ASK THE STUDENT TO TAKE A HISTORY FROM YOU OF AN

INFLAMMATORY SWELLING 0R ANY SWELLING OF YOUR
CHOICE GIVING A RUNNING COMMENTARY
AND MARK FOR:

1. HOW DID THE SWELLING START? (3)

2. WHEN DID THE SWELLING START? (3)

3. HOW DID THE SWELLING PROGRESS? (2) (LOCALIZED OR

SPREADING)

4. IS IT PAINFUL AND TENDER? (2)

5. NATURE OF THE PAIN (2) (DULL / THROBBING ETC.)

6. COLOR OF THE SKIN OVER THE SWELLING (NORMAL OR

OTHERWISE (2)

7. TEMPERATURE OF THE SWELLING (2) (DOES IT FEEL HOT?)

8. OTHER SYSTEMIC SYMPTOMS (2) (FEVER, NIGHT SWEATS ETC.)

9. WHAT IS THE CLINICAL DIAGNOSIS? (2)

Page 6 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: EXAMINATION OF A SWELLING

MARK OUT OF 20
STATION: ___ RESOURCE; ANY CASE OF A SURFACE SWELLING

 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF

EXAMINATION OF A SWELLING

 ASK THE STUDENT TO INSPECT THE SWELLING GIVING

RUNNING COMMENTARY AND MARK :

1. SITE (1), SIZE (1), SHAPE (1) ----- TOTAL (3)

2. SURFACE (1) SURROUNDINGS (1), COLOR OF SKIN (1) ---- TOTAL (3)

3. PULSATION (1), COUGH IMPULSE (1) ---- TOTAL (2)

 ASK THE STUDENT TO PALPATE THE SWELLING GIVING

RUNNING COMMENTARY:

1. CONSISTENCY OF THE SWELLING (2)

2. DEMONSTRATION OF FLUCTUATION (2)

3. DEMONSTRATION OF THE PLANE OF THE SWELLING (2)

4. EXAMINATION OF LOCAL LYMPH NODES (2)

5. EXAMINATION OF SENSATIONS (1) AND PULSES (1) ---- TOTAL (2)

6. CLINICAL DIAGNOSIS (2)

Page 7 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: SURFACE ANATOMY

MARK OUT OF 20

STATION _____ RESOURCE --- A PATIENT 0R A DUMMY

 OBJECTIVE :- DOES THE STUDENT KNOW SURFACE

ANATOMY OF ORGANS ;

 ASK THE STUDENT TO INDICATE :

1. HORIZONTAL TRANSPYLORIC AND TRANSTUBERCULAR LINES, AND

TWO VERTICAL MID INGUINAL LINES AND NAME THE NINE
ABDOMINAL REGIONS (2)

2. INDICATE THE EXACT PLACE OF MCBURNEY’S POINT (2)

3. INDICATE THE EXACT PLACE OF MURPHY’S POINT (2)

4. INDICATE THE POSITION OF PYLORUS AND THE DUODENUM (2)

5. OUTLINE THE POSITION OF THE KIDNEYS (2)

6. OUTLINE THE POSITION OF THE COLON (2)

7. OUTLINE THE POSITION OF THE PANCREAS (2)

8. OUTLINE THE POSITION OF DISTENDED URINARY BLADDER (2)

9. OUTLINE THE POSITION OF THE LIVER (2)

10. OUTLINE THE POSITION OF THE SPLEEN (2)

Page 8 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: BREAST LUMP

MARK OUT OF 20
STATION: ___ RESOURCE; ANY CASE OF A BREAST LUMP

 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF

EXAMINATION OF A BREAST LUMP

 ASK THE STUDENT TO INSPECT THE BREASTS GIVING

RUNNING COMMENTARY AND MARK FOR

1. SYMMETRY OF THE BREASTS AND OBVIOUS MASS (2)

2. SKIN CHANGES AND DEMONSTRATION FOR THE SKIN PUCKERING (2)

3. POSITION AND CONDITION OF THE NIPPLES, AREOLA AND DISCHARGE FROM THE
NIPPLES (2)

 ASK THE STUDENT TO PALPATE BREAST AND MARK FOR

4. SITE AND SIZE OF THE LUMP OR LUMPS (2)

5. SURFACE AND CONSISTENCY OF THE LUMP OR LUMPS (2)

6. DEMONSTRATION FOR FIXITY TO THE SKIN AND MUSCLE (2)

7. AXILLARY AND SUPRACLAVICULAR LYMPH NODES PALPATION (2)

8. ASK FOR THE CLINICAL DIAGNOSIS (2)

9. STATE THE METHOD OF CONFIRMATORY DIAGNOSIS (2)

10. OPERATIVE MANAGEMENT (2)

Page 9 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: EXAMINATION OF NECK SWELLINGS

MARK OUT OF 20
STATION: ___: RESOURCE; ANY CASE OF A NECK SWELLING

 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF NECK

SWELLINGS EXAMINATION :

 ASK THE STUDENT TO INSPECT THE NECK GIVING

RUNNING COMMENTARY AND MARK FOR

1. NUMBER, SITE, SIZE, SHAPE, SURFACE, PULSATION, SINUSES ETC. – (2)

2. DEMONSTRATING IF THE SWELLING IS OF THYROID ORIGIN – (2)

3. DEMONSTRATING SWELLINGS RELATION TO STERNOMASTOID MUS. – (2)

 ASK THE STUDENT TO PALPATE GIVING RUNNING COMMENTARY

4. POSITION OF THE STUDENT EXAMINING FROM BEHIND – (2)

5. ASKING TO SWALLOW WHILE EXAMINING – (2)

6. STATING CONSISTENCY OR NATURE OF THE SWELLINGS – (2)

7. DEMONSTRATING ANY PRESSURE OR INFILTRATION EFFECTS – (2)

8 ASK TO DEMONSTRATE ANY TWO OF THYROTOXICOSIS SIGNS – (2)

9. ASK FOR THE CLINICAL DIAGNOSIS – (2)

10. ASK FOR THE CONFIRMATORY INVESTIGATION - (2)

Page 10 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: EXAMINATION OF A SURGICAL CHEST

MARK OUT OF 20

STATION: ___: RESOURCE; ANY SURGICAL CASE OF CHEST OR A DUMMY

 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF SURGICAL CHEST
EXAMINATION :

 ASK THE STUDENT TO INSPECT THE CHEST GIVING RUNNING

COMMENTARY AND MARK FOR

1. SYMMETRY OF CHEST – (2)

2. MOVEMENTS OF EACH SIDE OF THE CHEST –(2)
3. INSPECTION OF SPINE – (2)
4. POSITION OF THE TRACHEA –(2)
 ASK THE STUDENT TO PALPATE THE CHEST GIVING RUNNING
COMMENTARY AND MARK FOR

5. VOCAL FREMITUS AND SURGICAL EMPHYSEMA – (2)

6. THE APEX BEAT – (2)

7. TRACHEAL SHIFT – (2)

 ASK THE STUDENT TO PERCUSS THE CHEST GIVING RUNNING

COMMENTARY AND MARK FOR

8. MARK FOR THE NATURE OF THE PERCUSSION NOTE – (2)

 ASK THE STUDENT TO AUSCULTATE THE CHEST GIVING RUNNING

COMMENTARY AND MARK FOR

9. BREATH SOUNDS _ (2)

 ASK THE STUDENT

10. CLINICAL DIAGNOSIS – (2)

Page 11 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: ABDOMINAL LUMP EXAMINATION

MARK OUT OF 20
STATION: ___ RESOURCE; ANY CASE OF AN ABDOMINAL LUMP
 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF
EXAMINATION OF AN ABDOMINAL LUMP

 ASK THE STUDENT TO INSPECT THE ABDOMEN

GIVING A RUNNING COMMENTARY AND MARK FOR

1. SYMMETRY OF THE ABDOMEN AND OBVIOUS FINDINGS – (2)

2. MOVEMENT OR RESTRICTION OF ABDOMEN WITH RESPIRATION – (2)

 ASK THE STUDENT TO PALPATE THE ABDOMEN GIVING A

RUNNING COMMENTARY AND MARK FOR

3. ASK TO DEMONSTRATE THE LEVEL OF THE LUMP – (2)

4. ASK TO SHOW IF THE LUMP IS REACHABLE ABOVE AND BELOW

THE LUMP – (2)
5. ASK TO SHOW ITS MOBILITY AND MOBILITY WITH RESPIRATION – (2)

6. ASK TO DEMONSTRATE BALLOTTEMENT – (2)

 ASK THE STUDENT TO PERCUSS THE ABDOMEN GIVING A RUNNING

COMMENTARY AND MARK FOR

7. DEMONSTRATION OF SHIFTING DULLNESS OR FLUID THRILL – (2)

 ASK FOR THE ORGAN INVOLVED

8. IF CORRECT – (2)

 ASK FOR THE CLINICAL DIAGNOSIS

9. IF CORRECT – (2)

10. ASK FOR RELEVANT CONFIRMATORY INVESTIGATION – (2)

Page 12 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: THYROID SWELLING (PER SE) EXAMINATION

MARK OUT OF 20
STATION: ___ RESOURCE; ANY CASE OF THYROID SWELLING
 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF
EXAMINATION OF A THYROID SWELLING

 ASK THE STUDENT TO INSPECT GIVING A RUNNING

COMMENTARY AND MARK FOR

1. DEMONSTRATING THE SWELLING OF THYROID ORIGIN – ( )

2. DEMONSTRATION OF ANY LOCAL PRESSURE OR INFILTRATION TO

TRACHEA, RECURRENT LARYNGEAL NERVE, ESOPHAGUS – ( )

 ASK THE STUDENT TO PALPATE GIVING A RUNNING

COMMENTARY AND MARK FOR

3. PALPATING FROM BEHIND – ( )

4. PALPATING FOR THE POSITION OF TRACHEA – ( )

5. SURFACE AND CONSISTENCY OF THE SWELLING – ( )

6. PALPATING FOR THE LOWER EXTENT OF THE SWELLING – ( )

7. SURFACE AND CONSISTENCY OF THE SWELLING – ( )

8. PALPATING FOR LYMPH NODES – ( )

9. DEMONSTRATING SIGNS OF TOXICITY – ( )

10. CLINICAL DIAGNOSIS – ( )

Page 13 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: THYROTOXICOSIS – HISTORY AND SIGNS

MARK OUT OF 20
STATION: ___ RESOURCE; A TOXIC CASE OR THE EXAMINER
 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF THYROTOXICOSIS
SYMPTOMS AND SIGNS

 ASK THE STUDENT TO TAKE HISTORY OF THYROTOXICOSIS FROM THE

PATIENT OR THE EXAMINER AND MARK FOR

1. HOW AND WHEN THE SYMPTOMS STARTED AND THE PROGRESS – (2 )

2. NERVOUS SYMPTOMS - ( ANXIETY , NERVOUSNESS ) – (2 )

3. CARDIOVASCULAR SYMPTOMS ( PALPITATIONS , BREATHLESSNESS – (2 )

4. APPETITE – (2 )

5. WEIGHT LOSS – (2 )

6. SWEATING – (2 )

7. ASK TO DEMONSTRATE LID LAG AND RETRACTION – (2 )

8. ASK TO DEMONSTRATE FINE TREMORS – (2 )

9. ASK TO DEMONSTRATE EXCESSIVE SWEATING – (2 )

10. ASK HOW THE STUDENT WILL DEMONSTRATE EXOPHTHALMOS – (2 )

Page 14 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: PEPTIC ULCER / CANCER – HISTORY TAKING

MARK OUT OF 20
STATION: ___ RESOURCE; A PEPTIC ULCER CASE OR THE EXAMINER
 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF PEPTIC ULCER /CANCER
SYMPTOMS

 ASK THE STUDENT TO TAKE HISTORY OF PEPTIC ULCER OR CANCER FROM

THE PATIENT OR THE EXAMINER AND MARK FOR

1. HOW, WHEN AND PROGRESS OF THE SYMPTOMS – (2)

2. CHARACTER OF THE PAIN – (INTERMITTENT / CONTINUOUS, BURNING ETC.) - (2)

3. RELATION OF PAIN TO FOOD – (2)

4. RELATION OF PAIN TO VOMITING – (2)

5. STATE OF APPETITE – (2)

6. ANY FULLNESS OF ABDOMEN AFTER TAKING FOOD – (2)

7. ANY WEIGHT LOSS – (2)

8. ANY HAEMATEMESIS / MELENA - (2)

9. ANY SIMILAR EPISODE IN THE PAST – (2)

10. DRUG HISTORY – (2)

Page 15 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: CHRONIC BLEEDING PER RECTUM – HISTORY TAKING

MARK OUT OF 20
STATION: ___ RESOURCE; THE EXAMINER
 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF CHRONIC RECTAL
BLEEDING SYMPTOMS

 ASK THE STUDENT TO TAKE HISTORY OF RECTAL BLEEDING FROM

THE EXAMINER AND MARK FOR

1. HOW, WHEN AND PROGRESS OF BLEEDING(INTERMITTENT OR DAILY) – (2)

2. ASSOCIATION WITH STOOL - STEAK ON STOOL, AFTER STOOL, MIXED WITH STOOL – (2)

3. COLOR OF THE BLOOD – BRIGHT OR DARK RED – (2)

4. BLEEDING ASSOCIATED WITH PAIN OR WITHOUT – (2)

5. ANY BLOODY MUCUS / PUS AT DEFECATION OR SOILING THE UNDERWEAR – (2)

6. ANY PROLAPSE PER RECTALLY AT DEFECATION – (2)

7. ANY CHANGE IN BOWEL HABITS – PROGRESSIVE CONSTIPATION – (2)

8. ANY SIMILAR EPISODE IN THE PAST – (2)

9. ASK FOR POSSIBLE DIAGNOSIS FOR BRIGHT RED BLOOD AFTER DEFECATION – ( 2)

10. ASK FOR POSSIBLE DIAGNOSIS FOR STOOL MIXED WITH DARK RED – (2)

Page 16 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: GROIN HERNIA EXAMINATION

MARK OUT OF 20
STATION: ___ RESOURCE; ANY CASE OF GROIN HERNIA OR A DUMMY
OBJECTIVE :-DOES THE STUDENT KNOW EXAMINATION OF GROIN HERNIAS

 ASK THE STUDENT THE FOLLOWINGS GIVING A RUNNING COMMENTARY

AND MARK FOR

1. DEMONSTRATING THE POSITION OF INTERNAL RING -- (2)

2. DEMONSTRATING THE POSITION OF MID-INGUINAL POINT AND ITS

IMPORTANCE – (2)

3. ASK TO SHOW REDUCIBILITY AND COUGH IMPULSE OF THE HERNIA – (2)

4. ASK TO DEMONSTRATE INTERNAL RING OCCLUSION TEST – (2)

5.ASK TO SHOW HESSELBACH’S TRIANGLE AND ITS IMPORTANCE IN RELATION

WITH DIRECT INGUINAL HERNIA – (2)

6. ASK TO SHOW EXTERNAL INGUINAL RING WITH REFERENCE TO PUBIC

TUBERCLE AND ITS IMPORTANCE IN RELATION WITH INDIRECT
HERNIA – (2)

7. ASK TO SHOW POSITION OF A FEMORAL HERNIA IN RELATION TO THE

PUBIC TUBERCLE – (2)

8. ASK TO EXPLAIN THE IMPORTANCE OF “REACHING ABOVE THE

SWELLING” TEST – (2)

9. ASK HOW TO CLINICALLY DIFFERENTIATE A HERNIA FROM A

HYDROCOELE IN A NEW BORN ( TRASILLUMINATION TEST ) – (2)

10. ASK FOR THE CAUSES OF HERNIAS IN ELDERLY – (2)

Page 17 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: SCROTAL SWELLING EXAMINATION

MARK OUT OF 20
STATION: ___ RESOURCE; ANY CASE OF A SCROTAL SWELLING
OBJECTIVE :- EXAMINATION OF A SCROTAL SWELLING

 ASK THE STUDENT TO INSPECT GIVING A RUNNING COMMENTARY

AND MARK FOR

1. SIZE AND SKIN CHANGES AND EXTENSION IN THE GROIN – (2)

2. IMPULSE ON COUGHING – (2)

 ASK THE STUDENT TO PALPATE GIVING A RUNNING COMMENTARY

AND MARK FOR

3. SIDE OR SIDES OF THE SWELLINGS – (2)

4. ANY RAISED TEMPERATURE, PAIN, AND TENDERNESS – (2)

5. REDUCIBILITY OF THE SWELLING – (2)

6. ASK TO DEMONSTRATE ‘ REACHING ABOVE THE SWELLING’ – (2)

7. EXAMINATION OF THE SPERMATIC CORD, EPIDIDIMIS AND TESTIS – (2)

8. EXAMINATION OF LYMPH NODES – (2)

9. ASK TO DEMONSTRATE FLUCTUATION TESTING – (2)

10. ASK FOR THE DIAGNOSIS – (2)

Page 18 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: URINARY-BLADDER NECK– SYMPTOMS– HISTORY TAKING

MARK OUT OF 20
STATION: ___ RESOURCE; THE EXAMINER
 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF URINARY BLADDER
NECK OBSTRUCTION SYMPTOMS

 ASK THE STUDENT TO TAKE A HISTORY OF BLADDER NECK OBSTRUCTION

SYMPTOMS FROM THE EXAMINER ( 65 YEARS OF AGE ) AND MARK FOR

1. ASKS FOR AGE – (2)

2. ANY DYSURIA / SUPRA-PUBIC / PERINEAL / LOIN PAIN – (2)

3. FREQUENCY OF URINATION INCLUDING AT NIGHT – (2)

4. STATE OF THE STEAM OF URINE – (2)

5. EFFECT OF STRAINING ON THE STREAM – (2)

6. ANY RETENTION OF URINE IN THE PAST – (2)

7. ANY HESITANCY / URGENCY IN PASSING URINE – (2)

8. ANY URINARY INCONTINENCE OR POST MICTURATION DRIBBLING – (2)

9. ANY HAEMATURIA – (2)

10. ASK FOR POSSIBLE DIFFERENTIAL DIAGNOSIS – (2)

Page 19 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: URINARY – HAEMATURIA – SYMPTOMS – HISTORY TAKING

MARK OUT OF 20
STATION: ___ RESOURCE; THE EXAMINER
 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF HAEMATURIA
SYMPTOMS

 ASK THE STUDENT TO TAKE A HISTORY OF HAEMATURIA FROM THE

EXAMINER ( 40 YEARS OF AGE ) AND MARK FOR

1. ASKS FOR AGE – (2)

2. HOW, WHEN, AND PROGRESS OF HAEMATURIA INCLUDING FEVER – (2)

3. ASSOCIATION WITH PAIN OR WITHOUT – (2)

4. ANY PAST LOIN / REFERRED COLIC PAIN / HYPOGASTRIUM /PERINEUM /URETHRAL PAIN – (2)

5. ANY DYSURIA / PYEURIA – (2)

6. FREQUENCY OF URINATION INCLUDING AT NIGHT – (2)

7. TYPE OF HAEMATURIA (INITIAL, MIXED, TOTAL) – (2)

8. ANY HISTORY OF RECENT TRAUMA – (2)

9. ANY HISTORY OF T.B. / BILHARZIASIS IN THE PAST – (2)

10. ASK FOR POSSIBLE COMMON DIFFERENTIAL DIAGNOSIS OF HAEMATURIA – (2)

Page 20 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: PERKINS TRACTION

MARK OUT OF 20

STATION: ___ RESOURCE; CASE OF PERKINS TRACTION

 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF SKELETAL TRACTION

 ASK THE STUDENT TO INSPECT GIVING A RUNNING COMMENTARY AND

MARK FOR

1. ASK WHAT THE SET - UP IS AND THE SPECIFIC NAME OF THE TRACTION – (1)

2. ASK ABOUT THE AMOUNT OF WEIGHT NEEDED IN RELATION TO BODY WEIGHT – (2)

3. ASK TO GIVE 3 ADVANTAGES OF PERKINS TRACTION

A. PREVENTS DEVELOPMENT OF CONTRACTURES – (3)

B. PREVENTS ATROPHY OF MUSCLES – (3)

C. EARLY HEALING AND MOBILIZATION – (3)

4. ASK TO GIVE 3 DISADVANTAGES OF PERKINS TRACTION

A. INJURY TO THE COMMON PERONEAL NERVE – (3)

B. FRACTURE OF TIBIA AT THE SITE OF INSERTION OF THE PIN – (3)

C. PIN TRACT INFECTION—(3)

5. ASK TO STATE HOW THE PIN TRACT INFECTION IS PREVENTED – (2)

Page 21 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: DEMONSTRATION OF SURGICAL CLINICAL SKILLS -1

MARK OUT OF 20

STATION: _ RESOURCE – A PATIENT OR A DUMMY

OBJECTIVE: TO TEST CLINICAL SKILLS:

 ASK TO DEMONSTRATE

1. PALPATION OF DORSALIS PEDIS AND POSTERIOR TIBIAL ARTERIES– (5)

2. CONTRACTING PECTORALIS MUSCLES TO TEST FIXITY OF A LUMP. – (5)

3. SHIFTING DULLNESS FOR ASCITES – (5)

5. DEMONSTRATING THE METHOD OF MURPHY’S TEST - (5)

Page 22 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: SKIN TRACTION

MARK OUT OF 20

STATION: ___ RESOURCE; CASE OF SKIN TRACTION

 OBJECTIVE :- DOES THE STUDENT KNOW BASICS OF SKIN TRACTION

 ASK THE STUDENT TO INSPECT GIVING A RUNNING COMMENTARY AND

MARK FOR

1. ASK WHAT THE SET - UP IS (SKIN TRACTION) – (1)

2. ASK ABOUT THE AMOUNT OF WEIGHT NEEDED IN RELATION TO BODY WEIGHT TO

SET UP AN EFFECTIVE TRACTION – (2)

3. ASK TO GIVE 3 ADVANTAGES OF SKIN TRACTION

A. NON INVASIVE – (3)

B. EASY TO APPLY – (3)

C. NOT EXPANSIVE– (3)

4. ASK TO GIVE 3 DISADVANTAGES OF SKIN TRACTION

A. WEIGHT LIMITATION– (3)

B. ISCHEMIA IF TOO TIGHT– (3)

C. STIFFNESS AND CONTRACTURES FORMATION—(3)

5. ASK TO STATE HOW THE DUNLOP TRACTION IS SET UP IN UPPER EXTREMITY – (2)

Page 23 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: DEMONSTRATION OF ORTHO. CLINICAL - SKILLS -- 2

MARK OUT OF 20 TRENDELENBURG’S TEST

STATION: _ RESOURCE – A PATIENT OR A DUMMY

OBJECTIVE: TO TEST CLINICAL SKILLS:

 ASK TO DEMONSTRATE TRENDELENBURG’S TEST FOR THE HIP GIVING

A
RUNNING COMMENTARY AND MARK FOR

1. ASKING PATIENT TO STAND IN FRONT AND COMMENTING ABOUT THE

LEVEL OF THE ILIAC CREST - (4)

2. ASKING PATIENT TO LIFT ONE OF THE LEGS AND COMMENTING ON THE

THE TILT OF THE PELVIS IF ANY - (4)

3. ASKING PATIENT TO LIFT THE OTHER LEG AND COMMENTING ON THE

THE TILT OF THE PELVIS IF ANY - (4)

4. ASK WHAT TRENDELENBURG’S TEST TESTS? – (4)

5. ASK TO STATE TWO CONDITIONS WHERE IT IS POSITIVE – (4)

 Hip dislocation
 Paralysis of abductor muscles

Page 24 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: DEMONSTRATION OF ORTHO CLINICAL

SKILLS – 3

THOMAS’ TEST

MARK OUT OF 20

STATION: _ RESOURCE – A PATIENT OR A DUMMY

OBJECTIVE: TO TEST ORTHO. CLINICAL SKILLS:

 ASK TO DEMONSTRATE THOMAS’ TEST GIVING A RUNNING

COMMENTARY AND MARK FOR

1. ASKING THE PATIENT TO LIE DOWN AND STATING THE POSITION

OF THE SPINE AND THE HIP – (4)

2. FLEXING THE NORMAL HIP – (4)

3. PUSHING THE HAND UNDER THE LUMBAR SPINE AND COMMENTING ON

THE STRAIGHTENING OF THE SPINE AND STATE OF THE DISEASED HIP - (4)

4. ASK WHAT DOES THE TEST TESTS? – (4)

5. ASK TO NAME TWO CONDITIONS WHERE THE TEST IS POSITIVE – (4)

 Fixed flexion deformity


Page 25 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

OSCE: DEMONSTRATION OF ORTHO CLINICAL - SKILLS –5

SENSORY NERVE TESTS

MARK OUT OF 20

STATION: _ RESOURCE – A PATIENT OR A DUMMY

OBJECTIVE: TO TEST ORTHO. CLINICAL SKILLS:

 ASK TO DEMONSTRATE THE FOLLOWING GIVING A RUNNING

COMMENTARY AND MARK FOR

1. SENSORY DISTRIBUTION OF RADIAL NERVE ON THE HAND – (2)

2. SENSORY DISTRIBUTION OF MEDIAN NERVE ON THE HAND – (2)

3. SENSORY DISTRIBUTION OF ULNAR NERVE ON THE HAND – (2)

4. SENSORY DISTRIBUTION OF COMMON PERONEAL NERVE ON THE LEG – (2)

5. SENSORY DISTRIBUTION OF ANTERIOR TIBIAL NERVE ON THE FOOT – (2)

6. SENSORY DISTRIBUTION OF POSTERIOR TIBIAL NERVE ON THE FOOT – (2)

7. SENSORY DISTRIBUTION OF T 10 NERVE ON THE ABDOMEN – (2)

8. SENSORY DISTRIBUTION OF C 4 NERVE ON THE UPPER BODY – (2)

9. SENSORY DISTRIBUTION OF L 1 AND L 25 NERVES ON THE LEG– (2)

10. SENSORY DISTRIBUTION OF L4 AND L 5 NERVES ON THE LEG– (2)

Page 26 of 28
 FAQs in Surgical OSCEs for MED5 & MED7

STATIC STATION

OSCE: SURGICAL INSTRUMENTS

MARK OUT OF 20

STATION: _ RESOURCE – TWO SURGICAL INSTRUMENTS PER

STATION

1. IDENTIFY THE TWO INSTRUMENTS – (5 MARKS EACH)

2. WHAT ARE THEIR MAIN USES IN SURGERY? – (5 MARK EACH)

Page 27 of 28
 FAQs in Surgical OSCEs

STATIC – STATION

OSCE: SURGICAL PATHOLOGICAL SPECIMEN

OR A PICTURE

MARK OUT OF 20

STATION: _ RESOURCE – ONE PATHOLOGICAL SPECIMEN

OR A PICTURE PER STATION

1. WHAT ARE THE TISSUE / TISSUES/ ORGANS SEEN? – (4)

2. STATE (JUST IN WORDS) THE GROSS PATHOLOGY SEEN – (4)

3. WHAT IS THE DIAGNOSIS? – (4)

4. STATE IN SHORT THE TWO MAIN SYMPTOMS THE PATIENT WILL HAVE – (4)

5. STATE TWO COMPLICATIONS OF THE PATHOLOGY SEEN – (4)

Page 27 of 27